Rope Session Pre-Scene Form 

To ensure I capture the essential information required to create a safe, enjoyable, and personalized experience, I kindly ask you to complete this form before every unique session.

This intake form serves as a valuable tool for us to delve into the intricacies of your preferences, expectations, and any potential limitations or concerns you may have. By sharing your thoughts and requirements, you empower us to create a moment that aligns with your vision and maximizes your enjoyment.

Remember, each session is a unique opportunity for exploration and growth. I want to provide you with an experience that not only fulfills your desires but also ensures your safety and comfort throughout. My commitment to understanding your needs on a session-by-session basis allows us to craft a bespoke encounter that reflects your current state of mind and body.

The questions within this form cover a wide range of topics, including your previous experiences, preferred rope techniques, desired intensity level, any physical or emotional boundaries, and much more. I encourage you to answer each question honestly and openly, as your responses will help us create an environment where trust and understanding flourish.

My goal is to cultivate an atmosphere where you can surrender to the moment and fully immerse yourself in the beauty and artistry of rope. Your input through this intake form allows us to build a solid foundation upon which we can co-create an unforgettable experience together.

Thank you for taking the time to fill out this intake form before each session. I appreciate your dedication to ensuring that every moment we share is unique, personalized, and tailored specifically to you.

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Email *
Name / Scene Name *
Email *
WHAT ARE 3 to 5 Outcomes that you would like to get out of working in this session in collaboration with your healing, empowering journey of life, love, and/or sexuality?
What is your best guess of what you might want in 1 or 2 outcomes out of this scene?
When is the scene over?
What is your desired aftercare?
POWER DYNAMICS
Action - " I AM...."
Giving
Receiving
Clear selection
Will - " I AM...."
Directing
Following
Clear selection
Are you interested in exploring power dynamics within the rope session? If yes, please provide any specific roles or dynamics you would like to incorporate or discuss.
Describe your title: _________
In relationship to: __________
Are there any specific boundaries or limits you would like to establish regarding power dynamics during the session?
QUALITIES AND TONE
What qualities do you appreciate in a rope practitioner? (e.g., gentle, strict, nurturing, creative)
What qualities are you calling in for this scene?
What qualities are you offering for this scene? 
Is there a particular tone or atmosphere you prefer during the session? (e.g., playful, intense, meditative, sensual)
Are there any specific emotions or states of mind you would like to explore or cultivate during the session?
COMMUNICATION AND CONSENT 
How do you prefer to communicate during the session? (e.g., verbal cues, non-verbal signals, check-ins)
What is the protocol(s) you would like to incorporate for expressing your needs and desires in the scene and during the session to ensure ongoing consent and comfort?
Are there any physical or emotional boundaries you would like to establish before the session begins? Please provide details.
Do you have any triggers or sensitive areas that should be avoided during the session? If yes, please specify.
Are there any health conditions or physical limitations that the practitioner should be aware of for the purpose of ensuring your safety and well-being during the session?
Is there anything else you would like the practitioner to know before the session?
LIABILITY
I understand that participation in a rope session involves physical activity and that there may be risks associated with it. By checking the box below, I acknowledge that I have read, understood, and agreed to release the practitioner from any liability arising from the rope session:
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